Individual
CHARLEEN T PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30251 MURRIETA RD, MENIFEE, CA 92584-8385
(951) 244-7210
Mailing address
34427 BLAIRWOOD ST, MURRIETA, CA 92563-0530
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
79909
CA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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